Diffuse glioma with FGFR3::TACC3 gene fusion and prominent calcification: A case report

Diffuse gliomas with fibroblast growth factor receptor 3 (FGFR3) and transforming acidic coiled-coil containing protein 3 (TACC3) gene fusion represent a distinct molecular subtype of isocitrate dehydrogenase (IDH)-wildtype gliomas characterized by unique histopathological features. Although microca...

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Main Authors: Masaoki Kusunoki, Osamu Togao, Koji Yamashita, Kazufumi Kikuchi, Daisuke Kuga, Yutaka Fujioka, Shun Akamine, Kousei Ishigami
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325003371
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author Masaoki Kusunoki
Osamu Togao
Koji Yamashita
Kazufumi Kikuchi
Daisuke Kuga
Yutaka Fujioka
Shun Akamine
Kousei Ishigami
author_facet Masaoki Kusunoki
Osamu Togao
Koji Yamashita
Kazufumi Kikuchi
Daisuke Kuga
Yutaka Fujioka
Shun Akamine
Kousei Ishigami
author_sort Masaoki Kusunoki
collection DOAJ
description Diffuse gliomas with fibroblast growth factor receptor 3 (FGFR3) and transforming acidic coiled-coil containing protein 3 (TACC3) gene fusion represent a distinct molecular subtype of isocitrate dehydrogenase (IDH)-wildtype gliomas characterized by unique histopathological features. Although microcalcifications have frequently been reported in histopathological studies, their prevalence and diagnostic significance on radiological imaging remain unclear. We report a case of a 67-year-old woman who presented with a 1-year history of weakness in the left lower limb. Head CT revealed coarse and irregular calcifications in the deep white matter of the right frontal and parietal lobes. At the same time, MRI demonstrated a diffuse gliomatosis cerebri-like growth pattern with infiltration across the corpus callosum and contrast enhancement in distant areas. Histopathological examination confirmed glioblastoma, IDH-wildtype, and subsequent genetic testing revealed FGFR3::TACC3 fusion and amplification of FGFR3 gene. This case highlights the potential radiological characteristics of diffuse gliomas with FGFR3::TACC3 fusion, particularly the presence of coarse calcifications, that may serve as notable imaging features of this tumor. Further research is required to determine whether calcification is a characteristic of this glioma subtype.
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spelling doaj-art-4c96a1b99afc4fa58a6cc000bd9bb48d2025-08-20T03:09:57ZengElsevierRadiology Case Reports1930-04332025-07-012073540354610.1016/j.radcr.2025.04.034Diffuse glioma with FGFR3::TACC3 gene fusion and prominent calcification: A case reportMasaoki Kusunoki0Osamu Togao1Koji Yamashita2Kazufumi Kikuchi3Daisuke Kuga4Yutaka Fujioka5Shun Akamine6Kousei Ishigami7Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan; Corresponding author.Department of Molecular Imaging and Diagnosis, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDiffuse gliomas with fibroblast growth factor receptor 3 (FGFR3) and transforming acidic coiled-coil containing protein 3 (TACC3) gene fusion represent a distinct molecular subtype of isocitrate dehydrogenase (IDH)-wildtype gliomas characterized by unique histopathological features. Although microcalcifications have frequently been reported in histopathological studies, their prevalence and diagnostic significance on radiological imaging remain unclear. We report a case of a 67-year-old woman who presented with a 1-year history of weakness in the left lower limb. Head CT revealed coarse and irregular calcifications in the deep white matter of the right frontal and parietal lobes. At the same time, MRI demonstrated a diffuse gliomatosis cerebri-like growth pattern with infiltration across the corpus callosum and contrast enhancement in distant areas. Histopathological examination confirmed glioblastoma, IDH-wildtype, and subsequent genetic testing revealed FGFR3::TACC3 fusion and amplification of FGFR3 gene. This case highlights the potential radiological characteristics of diffuse gliomas with FGFR3::TACC3 fusion, particularly the presence of coarse calcifications, that may serve as notable imaging features of this tumor. Further research is required to determine whether calcification is a characteristic of this glioma subtype.http://www.sciencedirect.com/science/article/pii/S1930043325003371Brain tumorDiffuse gliomaGlioblastomaFGFR3TACC3Calcification
spellingShingle Masaoki Kusunoki
Osamu Togao
Koji Yamashita
Kazufumi Kikuchi
Daisuke Kuga
Yutaka Fujioka
Shun Akamine
Kousei Ishigami
Diffuse glioma with FGFR3::TACC3 gene fusion and prominent calcification: A case report
Radiology Case Reports
Brain tumor
Diffuse glioma
Glioblastoma
FGFR3
TACC3
Calcification
title Diffuse glioma with FGFR3::TACC3 gene fusion and prominent calcification: A case report
title_full Diffuse glioma with FGFR3::TACC3 gene fusion and prominent calcification: A case report
title_fullStr Diffuse glioma with FGFR3::TACC3 gene fusion and prominent calcification: A case report
title_full_unstemmed Diffuse glioma with FGFR3::TACC3 gene fusion and prominent calcification: A case report
title_short Diffuse glioma with FGFR3::TACC3 gene fusion and prominent calcification: A case report
title_sort diffuse glioma with fgfr3 tacc3 gene fusion and prominent calcification a case report
topic Brain tumor
Diffuse glioma
Glioblastoma
FGFR3
TACC3
Calcification
url http://www.sciencedirect.com/science/article/pii/S1930043325003371
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